Saint Louis
"HEALTH
6059 N. Hanley Road Office: 314-615-0800
St.Louis, MO 63134 Fax: 914-622-0955
http//www.stlouisco.com Office of the Medical Examiner TTY: 314-615-8428
BROWN, MICHAEL 0.D. 2014-5143
Day: Saturday Date: 08/09/2014 Time: 01:30 pm Case Type: Exam Case
Call Received From: PO. Phone No: (314)
Notifying Agency/Institution: St. Louis County Police Department
Deceased: BROWN, MICHAEL 0.D. Phone No.
Race: Black Sex: Male Age: 18 years Dos:
Marital Status: Never Married SSN
Address: ity: State: MO
Occupation/industy: Not Currently Employed / County: St. Louis County (189 Zip
Next of Kin: Phone No.
Address city: State: MO
Relationship: MOTHER County: St, Louis County (189) Zip
Notified: 8/9/2014 3:00:00PM By: ON THE SCENE
e Agency: St. Louis County Police Department Phone No.: (314)
Date/Time Called: 08/09/2014 (Time UnknovComplaint No.; 2014-43984 During Appin Cust? N
Date Tine Tocaton
2947 CANFIELD DRIVE, Ferguson, MO 63136
Oceurred | 08/092014 | 12:04pm Jig. Louis County (1899)
Pronounced | 08/09/2014 | 12:18pm [2247 CANFIELD DRIVE, Ferguson, MO 63136 [St Christian Hospital EMS
Louis County (189)] ( Other:) Paramedic
Manner of Death: Homicide Injury at Work? No
Type of Death: Firearms Firearms-Firearm Discharge
How Injury Occurred: Gunshot Wound(s) at hands of Law Enforcement
Premises: Roadway
Multiple Deaths Associated with this Incident: No
Activity of decedent
Depth of Investigation (Investigator): Scene Investigation Type:
Death Certificate Signed By: Medical Examiner BY: MD,C — DateSigned: 08/19/2014
Private Physician to Sign: Phone No.
Address
Personally Contacted by Investigator: No When:
Notifications: Does this case meet MTS Criteria? Yes
Investigator:
Pathologist
{Printed: 9/9/2014 at 01:22pm } 2014-5143Saint Louis
HEALTH
6059 N. Hanley Road
St Louis, MO 63134
http stlouisco.com
Office of the Medical Examiner
Office; 314-615-0800
Fax: 314-522-0955
TTY: 314-615-8428
Pathologist:
X-Rays Requested: No
Case Disposition: Brought in for Examination
General Scene Description: Other
St. Louis Livery Service Ine,
Disposition of Body:
Livery Service:
Body Released: Status: Released Authorized Authorized By:
Arrangements Made? No ‘Arrangements Authorized By:
Funeral Home: Austin A. Layne. Mortuary Inc.
Address: 7239 West Florissant, St. Louis, MO 63136
Notified By: Who:
Released By also released:
Remains Visually Identified By:
Who: INV. Date/Time: 8/9/2014 4:00:00PM
Address:
IcD Code:
Cause of Death
Immediate Cause: Gunshot wounds of head and chest
Due to (or as a consequence of) (b):
Due to (or as a consequence of) (c)
Due to (or as a consequence of) (A):
Other Significant Conditions (1):
Other Significant Conditions (2)
{Printed: 9/92014 at 01:22pm }
Autopsy Performed? Yes.
Unknown
When
When
Phone No.; (314)
Wher:
Property When: 8/18/2014 02:50 pm
Relationship: INVESTIGATOR
Phone No.
ICD-9 Time Interval
2014-5143